Organization
ANESTHESIOLOGY CONSULTANTS OF IDAHO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVE ROBERTS (MD/OFFICER)
(208) 463-5029
Entity
Organization
Contact information
Practice address
1512 12TH AVE RD, NAMPA, ID 83686-6008
(208) 463-5029
Mailing address
104 W 5TH AVE, SUITE 250E, SPOKANE, WA 99204-4880
(866) 263-1223
(509) 835-4058
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
C122890
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0207
—
OR
05
—
8052399
—
ID
05
—
805239900
—
ID
05
—
8082399
—
ID
Enumeration date
10/11/2005
Last updated
07/18/2012
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